Active NPI
Personal Choice Home Health Services,Inc
- Home Health Agency
- Fort Pierce, FL
National Provider Identifier
1164489902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA216070961
- Legal business name
- PERSONAL CHOICE HOME HEALTH SERVICES,INC
- Practice address
- 2502 Quincy Ave Ste 101
Fort Pierce, FL 34947-4766 - Phone
- (772) 468-8686
- Fax
- (772) 468-5958
- NPI assigned
- Apr 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vijay Gupta
- Title
- Owner
- Phone
- (954) 946-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA216070961 | FL | Primary |
Addresses
Primary practice location
2502 Quincy Ave Ste 101
Fort Pierce, FL 34947-4766
Mailing address
41 N Federal Hwy
Pompano Beach, FL 33062-4304
Phone (954) 946-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA216070961 | Other | FL | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
41 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 946-1920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511913600000",
"number": "1164489902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 N FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330624304",
"telephone_number": "954-946-1920",
"fax_number": "954-946-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 QUINCY AVE STE 101",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474766",
"telephone_number": "772-468-8686",
"fax_number": "772-468-5958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL CHOICE HOME HEALTH SERVICES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2017-11-29",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "VIJAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-946-1920",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HHA216070961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "HHA216070961",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.